One should additionally supplement digestive enzymes (pancreatic enzymes). This seems particularly so for those suffering the PST/sulfate problem. This will often improve HCl production, and will improve digestion enabling a universal restoring of health, and of physical and mental function, as a result of improved nutrition. Lactase in the supplement would help digest milk products better, and would be beneficial to at least that 39% reported deficient. Cellulase is desirable to break down fibers, and supplementing peptidase would break down the peptides of casein and gluten, and reduce the problems attributed to them. Introduce enzymes gradually in the diet, with food; otherwise it may cause diarrhea, or even constipation—yet the use will often control chronic diarrhea or constipation. When ox bile is used, increase the amount until the fat is being digested. Papaya is a good source of the peptidase enzyme. Enteric-coated papaya tablets are available at the health food store.
SerenAid™, by Klaire Labs, 1-800-533-7255, $49.95 for 180 capsules (www.SerenAid.com), and EnzymAid™, a newer version from Kirkman’s, are protease/peptidase supplements especially prepared for those sensitive to gluten and casein. These peptidase supplements are not to take the place of a Gf/Cf diet, but will give other benefits, such as when there is a slip-up on the diet, and in enhancing digestion and availability of branch-chained amino acids. They lack amylase, lipase, and cellulase, enzymes these children desperately need in my opinion; so, I recommend EnZym-Complete™ by Kirkman Labs. It contains everything except ox bile. If the stool is light or gray colored, frothy, floating, bulky, shiny, and foul smelling, one may choose a digestive enzyme with ox bile to help digest the fat, or supplement the amino acids taurine and glycine, and butyric acid to enhance bile function. The glycine will enhance HCl production too. One can use bile salts with the enzymes (ask your pharmacist).